Orphaned Bird Care Volunteer

1. Please provide the following information:

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Name:

 

 

 

 

       

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City/State/ZIP:

 

    

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Question - Required - Date of Birth (**You MUST be 13yrs or older to complete and submit this application.**):




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19. Do you plan to volunteer with a:
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  (Conviction may not necessarily disqualify you from volunteering. We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.)
27.
Question - Not Required - How did you hear about us?

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If you are under 18, your parent or guardian MUST complete the remainder of this application.

 

*29.
Question - Required - What date would you (or your child) be able to begin volunteering?




 

Please note that Orphaned Bird Care Volunteers are needed from May through September. Our time of greatest need is in June, July and August.

 

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Question - Required - There are 4 shifts available each day, 7 days a week. Shifts at 8:30am-11:30am, 11:30am-2:30pm, 2:30pm-5:30pm, and 5:30pm-8:30pm. When would you (or your child) be able to volunteer? (check all that apply.)
Please make between 1 and 4 selections from the choices below.

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  In consideration of WHS accepting my application for participation in WHS programs, I agree to release and hold harmless WHS from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements, arising from or occasioned by my participation in WHS' programs. I understand there are certain risks inherent in handling animals and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance.

I agree that WHS may photograph my participation in this program, and I hereby release any such photographs to WHS for use in its programs, publications and purposes.
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  If you are a parent or guardian applying for a minor, you agree to the following: I give permission for my child to participate in the volunteer program at the Wisconsin Humane Society. I release and hold harmless the Wisconsin Humane Society, its agents, and employees from responsibility or liability arising out of my child’s participation. I understand there are certain risks inherent in dealing with animals. I certify that my child is covered under my health insurance policy should injury take place while volunteering or participating and I will be responsible for his/her medical bills.
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Anyone under the age of 18 must submit a letter of recommendation from someone other than a friend or family member, speaking of their maturity, ability to follow directions, and work independently.  Letters can either be submitted electronically to reggert@wihumane.org or mailed to Wisconsin Humane Society, Rachel Eggert Attn: OBC Letter, 4500 W. Wisconsin Avenue, Milwaukee, WI 53208.  Letters of recommendation must be received or postmarked by May 1st, 2014 to be accepted into the program.

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Your application will not be considered complete and will not be reviewed until the letter of recommendation has been received.

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